NURS 6501N Final Exam 3 (Spring 2020 - 100 out of 100).doc

Question 1 ● 1 out of 1 points Which cells function to maintain bone matrix? NURS 6501N Final Exam 3 (Spring 2020 - 100 out of 100).docType your text Selected Answer: Osteocytes ● Question 2 ● 1 out of 1 points Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer? Selected Answer: Vaginal cancer ● Question 3 ● 1 out of 1 points Which statement by the professor best describes acute respiratory distress syndrome (ARDS)? Selected Answ er: A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging ● Question 4 ● 1 out of 1 points In infectious mononucleosis (IM), what does the Monospot test detect? Selected Answer: Immunoglobulin M (IgM) ● Question 5 ● 1 out of 1 points A patient has been hospitalized for a large deep vein thrombosis and states he is the third person in his family to have this condition in the last 2 years. What response by the healthcare professional is most appropriate? Selected Answer: We can test your blood for factor V Leiden. ● Question 6 ● 1 out of 1 points The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate? Selected Answer : The patient cannot endure a higher level of pain intensity at this point. ● Question 7 ● 1 out of 1 points A healthcare professional is teaching a community group about inherited disorders. What pattern of inheritance does the professional describe for sickle cell disease? Selected Inherited autosomal recessive disorder Answer: ● Question 8 ● 1 out of 1 points What is the link between major depression and cortisol secretion? Selected Answ er: Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression. ● Question 9 ● 1 out of 1 points A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority? Selected Answer: Hypertension ● Question 10 ● 1 out of 1 points A woman has been diagnosed with polycystic ovary syndrome but is confused because her pelvic ultrasound (US) was read as normal and did not show cysts. What response by the health care professional is most appropriate? Selected Answer : You do not need to have cysts on your ovaries to have this condition. ● Question 11 ● 1 out of 1 points A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child? Selected Answer: Vitamin C ● Question 12 ● 1 out of 1 points A person has been diagnosed with acute lymphocytic leukemia (ALL) that is positive for the Philadelphia chromosome. What statement by the healthcare professional is most appropriate? Selected Answ er: 1cWe are planning to get your disease in remission, but it will be hard. 1d ● Question 13 ● 1 out of 1 points Cystic fibrosis is characterized by which symptom? Selected Answer: Excessive mucus production ● Question 14 ● 1 out of 1 points A patient has primary immune thrombocytopenic purpura (ITP) and is hospitalized after a bleeding episode. What treatment does the healthcare provider anticipate being ordered for this patient? Selected Answer: Infusion of IVIG ● Question 15 ● 1 out of 1 points A hospitalized patient's lab work is as follows: WBC 2000, bands 14.8%, and segmented neutrophils 5. The healthcare professional calculates the patient's absolute neutrophil count (ANC). What action does the professional take next? Selected Answer: Implements protocols to prevent lifethreatening infections ● Question 16 ● 1 out of 1 points A patient has been diagnosed with acute lymphocytic leukemia (ALL) and asks the healthcare professional to describe it. What description by the professional is most accurate? Selected Answ er: ALL is a progressive neoplasm defined by the presence of greater than 30% lymphoblasts in the bone marrow or blood. ● Question 17 ● 1 out of 1 points A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk? Selected Answer: IgA ● Question 18 ● 1 out of 1 points Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis? Selected Answer: Abnormal uterine bleeding ● Question 19 ● 1 out of 1 points What is the consequence of a splenectomy? Selected Answer: The number of defective cells in circulation increases. ● Question 20 ● 1 out of 1 points What congenital malformation is commonly linked to acute leukemia in children? Selected Answer: Down syndrome ● Question 21 ● 1 out of 1 points The student wants to know how the clinical manifestations and onset of juvenile idiopathic arthritis (JIA) differ from those of rheumatoid arthritis (RA) in adults. What answer by the healthcare professional is best? Selected Answer: JIA predominantly affects large joints. ● Question 22 ● 1 out of 1 points A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct? Selected Answ er: Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes. ● Question 23 ● 1 out of 1 points A newborn baby displays jaundice 20 hours after birth. What action by the healthcare professional is most appropriate? Selected Answer: Draw blood to measure total bilirubin. ● Question 24 ● 1 out of 1 points A patient reports joint stiffness with movement and joint pain in weightbearing joints that is usually relieved by rest. What treatment option does the health care professional discuss with the patient? Selected Answer: Exercise and weight reduction ● Question 25 ● 1 out of 1 points How does the epididymis become infected? Selected Answ er: The pathogenic microorganisms ascend the vasa deferentia from an already infected urethra or bladder. ● Question 26 ● 1 out of 1 points An infant has a continuous machine-type murmur best heard at the left upper sternal border throughout systole and diastole. The healthcare professional suspects a congenital heart disorder. What other assessment finding is inconsistent with the professional's knowledge about this disorder? Selected Answer: Thrill on palpation ● Question 27 ● 1 out of 1 points ● A patient has damage to the lower pons and medulla. What finding does the healthcare professional associate with this injury? Selected Answer: Flaccid response in the upper and lower extremities ● Question 28 ● 1 out of 1 points A baby is born with a myelomeningocele and needs urgent surgery to repair the defect. The parents want to take the baby home instead. What does the healthcare professional tell the parents about the purpose of this surgery? Selected Answer : 1cAdditional nervous system damage will occur the longer we wait. 1d ● Question 29 ● 1 out of 1 points A healthcare professional is caring for a patient diagnosed with aphasia. What action by the professional would be best in working with this patient? Selected Answer: Provide speech therapy. ● Question 30 ● 1 out of 1 points ● In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis? Selected Answer: Tertiary ● Question 31 ● 1 out of 1 points A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional is best? Selected Answer: Patients tend to have venous stasis from orthopedic operations. ● Question 32 ● 1 out of 1 points ● The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism? Selected Answer: Staphylococcus aureus